CALCULATE YOUR OREGON PERMIT FORM

Temporary Permits are Valid for Only 10 Days

Contact Info. Truck/Driver Route Payment Accept & Submit

Your USDOT Number#:

Email Address:
Phone Number:

Legal Business Name:
Permit starting date:

First & Last Name of Driver:

Truck Info

Full VIN#:

Unit#:

Year:

Make:

License plate Number:

License plate issue state:

Is your truck registration apportioned?

Is your truck apportioned with Oregon?

What is your registered weight with Oregon?
[Over 80,000lb is extended weight. Will add $30 to the permit]

GVW (combine weight):

Current odometer:

Truck is purchased by the company or leased?

What is your Commodity?

Leasing company name:

Your Oregon route
Reset

Entering Oregon

Exit/Start from Oregon

Round Trip

One Way Trip

Start point:

Entrance point:

1 Location in Oregon:
Delivery Pick Up

Add Stop

Add Exit/FWY Point

Remove Exit/FWY Point

Exit Point:

Billing Address:

Street Address City

State Zip Code

I certify that I am the authorized holder and signer of the credit card referenced in the “Payment” tab. I also certify that all the information provided is complete and accurate.

I hereby authorize the collection of payment for the charges as previously indicated in the “Payment” tab. If any additional charges must be authorized, a new form will have to be completed.

I hereby acknowledge and agree that after the charges are authorized, an Oregon Permit specialist will be assigned in a 5-minutes timeframe to run the order. Once the agent has been assigned all charges will become non-refundable.

I hereby acknowledge a small processing fee is included in the total amount to cover the permit processing.

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CALCULATE YOUR OREGON PERMIT FORM

Temporary Permits are Valid for Only 10 Days

Your Oregon route Reset

Entering Oregon

Exit/Start from Oregon

Your Oregon route
Reset